Contact

Nhien Lange
Owner & Webmaster
[email protected]
859-653-7664

New Project Engagement Form

To better serve you, please fill out the information below. This allows us to understand your website goals, needs and expectations. Thank you for your interest!

Contact and Business Information

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Name *

First

Last

Name of business or organization *

Short description *

Establishment date (month/year) *

If other, please specify *

Email *

Phone Number *

City and state *

Website Information

Website domain (ex: langedigital.com) *

Does a site exist already? *

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Domain/hosting provider (ex: GoDaddy, Yahoo, etc.) *

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Target audience (i.e., who are you trying to reach)? *

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How often do you anticipate changes to website? *

Additional information regarding your website *

How did you hear about langeDIGITAL? *

Personal referral Google/search Visiting a langeDIGITAL website Other

If other, please specify *

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